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Medical Forum / General / Dentistry / January 2008

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Horizontally Impacted Wisdom Tooth

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Fran L - 18 Jan 2008 15:50 GMT
Eight years ago, I had a Panorex done. The dentist told me to see an
oral surgeon who said he saw what looked like a cyst on tooth #17. I
went for a second opinion to the oral surgeon I had used before and is
really well respected in my commnity. He said it doesn't look like a
cyst and leave it alone. I was 51 years old then.

Three years ago, I had an extraction on another tooth by another oral
surgeon, also well recommended. He took a Panorex and said he sees "some
pathology", not sure but to leave it alone.

The reason I am writing now is because since I had the guided tissue
regeneration procedure last month on tooth #11, I have had an on and off
sour taste. It seems to be coming from the area in back of the impacted
wisdom tooth which is nowhere near 11although on the same side. Or
coming from the inside of my cheek. I know I have asked about the wisdom
tooth before and at the age of 59, you all said leave it alone if it's
asymptomatic.

I have no pain or swelling from that area. My question is can a cyst in
this tooth which is horizontally impacted and buried, not visible  cause
a bad taste? I am hoping that it's related to the procedure I had done
but getting nervous about this. The taste is not constant and some days
I don't have it at all. I see my periodontist on Monday for a follow up
of tooth 11 but any opinions here would be appreciated.

Steven Bornfeld - 18 Jan 2008 16:19 GMT
> Eight years ago, I had a Panorex done. The dentist told me to see an
> oral surgeon who said he saw what looked like a cyst on tooth #17. I
[quoted text clipped - 23 lines]
>
> ------------------------------------------------------------------------

    Obviously the dentist who examines you will know better.  But most of
the horizontally impacted wisdom teeth I've seen don't communicate with
the surface.  If they do (they can) and get infected you'd probably have
tenderness and obvious drainage over the area.
    My blind guess is it's tooth 11.

Steve
Newbie@bix.nex - 19 Jan 2008 02:18 GMT
>Eight years ago, I had a Panorex done. The dentist told me to see an
>oral surgeon who said he saw what looked like a cyst on tooth #17. I
[quoted text clipped - 20 lines]
>I don't have it at all. I see my periodontist on Monday for a follow up
>of tooth 11 but any opinions here would be appreciated.

Have read SB's response and here's my take:

Since you have an appointment with the Perio on Mon be sure
to mention this and have the area checked out.

Many times a 'pan' gives us an overview but a good clear
periapical film gives better radiographic clarity.
Ask to have a periapical radiograph taken of tooth #17 on
your perio recall visit.

Most horizontal impactions are not deep enough to be
fully encased in bone. I disagree with Dr. Bornfeld on this point.

Have been taking out various full boney maxillary and mandibular
impaction in a variety of patient ages for 23+ years now.
Age is always a consideration before any surgical procedure.
Not because of the age so much as the speed of healing,
which no doubt all of us in our 50's are well aware.

On the other hand, persistent pathology should be addressed.
It becomes chronic and 'hang it all', it just don't get better.

If you could post a radiograph or  in some way share a digital image,
might be able to give you a bit more advice.

You may ask for a 412 Monoject irrigating syringe and use half
peroxide and half warm water to irrigate the tissue around #18/17.

Best wishes dudette <hehe>
Fran L - 19 Jan 2008 03:20 GMT
THANK YOU both! I recently had periapical x-rays but didn't get a copy
because they're digital. I will get one though, better than nothing. I
do have a copy of all my previous x-rays. The old periapical are not as
clear as this Panorex, which was taken 5 1/2 years ago but gives you an
idea of what he saw. I have a waterpik but not the one you mention and
do use peroxide, baking soda, salt...but I will definately ask the perio
on Monday about this tooth. In the meantime, I took this with my
camcorder...here's the tooth, newbie. Can you see a cyst? I wonder if
it's changed since 2002, any opinions would be great..dudette Fran :-)

http://pic20.picturetrail.com/VOL83/532620/15499366/299250496.jpg
Newbie@bix.nex - 19 Jan 2008 06:38 GMT
Have gleeked at your radiographic posting.

Will give you a complete radiographic analysis as
soon as possible.

If you have any other dated films it would help immensely
in the analysis. However can give you a 'slice of life' analysis
based on one film. Just can't do it right now.

Soon,

>THANK YOU both! I recently had periapical x-rays but didn't get a copy
>because they're digital. I will get one though, better than nothing. I
[quoted text clipped - 7 lines]
>
>http://pic20.picturetrail.com/VOL83/532620/15499366/299250496.jpg
Fran L - 19 Jan 2008 13:48 GMT
I was going to pick up a copy of last month's digital x-rays so I could
post that tooth but the dentist is closed today. The only periapical
x-ray I have to show you is from 1999...the 2005 set didn't include that
tooth. This won't be of much help but here it is..the other one I posted
is much clearer.

http://pic20.picturetrail.com/VOL83/532620/15499366/299340890.jpg
Newbie@bix.nex - 19 Jan 2008 17:27 GMT
>I was going to pick up a copy of last month's digital x-rays so I could
>post that tooth but the dentist is closed today. The only periapical
[quoted text clipped - 4 lines]
>http://pic20.picturetrail.com/VOL83/532620/15499366/299340890.jpg
>http://pic20.picturetrail.com/VOL83/532620/15499366/299250496.jpg

OK, here is my analysis of these radiographs.

What strikes me first is that the mesial of #17 (inferior border) is
deeper than the apex of #18. There is also evidence of extreme
proximity to the mandibular canal. The mandibular canal is likely
to be medial to the tooth.

On the superior aspect there appears to be a soft tissue crypt that
may or may not communicate with the gingiva on the distal aspect
of #18. This is a common area to have a deep gingival pocket that
can result in bone destruction and formation of a 'weeping'
periodontal pocket/abscess. There is likely chronic inflammation
at the distobuccal aspect of #18.

Would have to see you IRL to determine the accuracy of this
speculation.

Apparently there is healing of the furcation of #19 after RCT.
The root structure and distal aspect of #18 appears unaffected
by the presence of #17.

There does *not* appear to be any evidence of cyst formation
related to the crown structure of #17 but that does not rule out
the remote (IMO) possibility. There also does *not* appear to be
any distal bone destruction of #18.

Surgical considerations of removal of #17 are myriad.
Considerations include the position of the tooth,  the age of the
patient (please excuse me), proximity to the mandibular canal, and
the reluctance of previous surgeons to operate this area.

The likelihood of serious post-operative sequelae is more than
significant.

It is my professional opinion that removal of #17 is not warranted at
this time unless significant/serious pathology is present that
requires surgical intervention.
Soft tissue pathology cannot be determined from radiographs alone.

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

Translation: "Leave it be unless there is a *big* problem."
"The cure is worse than the disease" if'n you catch my drift.

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

There you have my analysis.
Remember you got what you paid for.
<and maybe less>

8^]]
Mark & Steven Bornfeld - 19 Jan 2008 17:35 GMT
>> I was going to pick up a copy of last month's digital x-rays so I could
>> post that tooth but the dentist is closed today. The only periapical
[quoted text clipped - 56 lines]
>
> 8^]]

    Nicely done.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 19 Jan 2008 17:59 GMT
>    Nicely done.
>
>Steve

Coming from you that is indeed a nice new eagle feather in my
headband.

Still would love to meet IRL and have a fine steak dinner.
If SM was there it would be that much tastier !
The rest of the SMD regs are invited too.
Mark & Steven Bornfeld - 19 Jan 2008 18:54 GMT
>>     Nicely done.
>>
[quoted text clipped - 6 lines]
> If SM was there it would be that much tastier !
> The rest of the SMD regs are invited too.

    Hope it happens.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Amatus Cremona - 20 Jan 2008 01:40 GMT
Let's do it.!.!

Signature

/

Amatus

/

>
>> Nicely done.
[quoted text clipped - 7 lines]
> If SM was there it would be that much tastier !
> The rest of the SMD regs are invited too.
Newbie@bix.nex - 20 Jan 2008 01:54 GMT
R U up for NYC ?

>Let's do it.!.!
>
[quoted text clipped - 8 lines]
>> If SM was there it would be that much tastier !
>> The rest of the SMD regs are invited too.
Amatus Cremona - 21 Jan 2008 11:36 GMT
IF we plan far enough in advance.

Signature

/

Amatus

/

>
> R U up for NYC ?
[quoted text clipped - 11 lines]
>>> If SM was there it would be that much tastier !
>>> The rest of the SMD regs are invited too.
Newbie@bix.nex - 20 Jan 2008 02:06 GMT
Almost forgot.

As long as we stay away from the 'Sparks' steak house.
IIRC.

Dog SteveB would take good care of us, one would hope.
Of course could always call one of my NY cousins to arrange
an escort in the city.

Primo hotel is in order, travel in style or don't travel at all.

I also wanna visit one of the great museums for a few hours.

>Let's do it.!.!
>
[quoted text clipped - 8 lines]
>> If SM was there it would be that much tastier !
>> The rest of the SMD regs are invited too.
Steven Bornfeld - 20 Jan 2008 04:20 GMT
> Almost forgot.
>
> As long as we stay away from the 'Sparks' steak house.
> IIRC.

Peter Lugers.  I've actually never been--Marie is practically a
vegetarian these days.

> Dog SteveB would take good care of us, one would hope.

    I don't think anyone has actually included me in the dog pound before.

> Of course could always call one of my NY cousins to arrange
> an escort in the city.
>
> Primo hotel is in order, travel in style or don't travel at all.
>
> I also wanna visit one of the great museums for a few hours.

    You know, New Yorkers don't take advantage of their great museums.  For
example, I've never been to this one:

http://www.museumofsex.com/

Steve

>> Let's do it.!.!
>>
[quoted text clipped - 8 lines]
>>> If SM was there it would be that much tastier !
>>> The rest of the SMD regs are invited too.
Fran L - 19 Jan 2008 19:16 GMT
Thanks again. Newbie, question...when you say chronic inflammation of
distobuccal aspect, what exactly do you mean by aspect? iIf there is a
chronic periodontal weeping, what can be done for this?

As far as 17, I hope you're right. I wouldn't have even thought about
this if I didn't have the sour taste. If it is in fact coming from 18, I
hope there's a treatment. I am having a cleaning on Monday and
afterwards the periodontist will measure my pockets so I'll see what he
says about this. I wish that my dentist as a teenager had the foresight
to remove my wisdom teeth. It's always something. If there is an
afterlife, I want to come back as something without teeth.  
Newbie@bix.nex - 19 Jan 2008 20:31 GMT
Mannie Frannie, you covered a lot of ground there.

Aspect (from dict.org)
4. Position or situation with regard to seeing; that position which
enables one to look in a particular direction; position in relation to
the points of the compass; as, a house has a southern aspect, that is,
a position which faces the south. [1913 Webster]

You must ask your periodontist what treatment, if any, is appropriate
for whatever condition may be present. I have not diagnosed your
condition, if any, over the internet.

Don't think a teenage dentist would be a good diagnostician nor
dental surgeon. Your dentist, as a teenager, would have been likely
concerned with acne and his/her gonadal function.

As far as the afterlife, cannot advise you there.
There are many animals without teeth, most are tasty invertebrates.
Clams, mussels, and oysters come to mind.
Am sure there are others.

>Thanks again. Newbie, question...when you say chronic inflammation of
>distobuccal aspect, what exactly do you mean by aspect? iIf there is a
[quoted text clipped - 7 lines]
>to remove my wisdom teeth. It's always something. If there is an
>afterlife, I want to come back as something without teeth.
Fran L - 19 Jan 2008 21:43 GMT
Thank you Newbie. Oyster is good...pearls and all. You can always do
stand up comedy if you get tired of dentistry. Or lay down comedy. After
dealing with lunatics like me, you need a rest. On a serious note,
thanks for the definition, I understand what you're saying.

I took 2 different antibiotics before and after the guided tissue
procedure, this taste could be from my flora being messed up and it
could be coming from my stomach. Taking probiotics in case. I'll know
more on Monday and try to get another x-ray of that area.
Newbie@bix.nex - 19 Jan 2008 22:25 GMT
Ja veddy velcomen, frau.

Yep I luv Oysters, especially of the Perpetual variety.

http://rolex.com/en/#/en/xml/collection/rolex-gallery/day-date/specification

#3

Don't like the oyster bracelet, prefer the president on the day-date.
Diamond champagne dial, diamond  bezel is nice too.
Don't like rose gold either. Platinum and white 'gold' look
too much like SS for my taste.
The MOP <mother of pearl> is a nice dial if you get a good one.
Abalone would be most excellent but you must get it custom made.
Saw a Day-Date with an Opal dial, it is unique.
Also have seen a 'meteorite' dial. Awesome !

#6 is gross, and don't like the Roman dials either.
The upside-down numbers skew my sense of balance.

Am much better at 'red-neck' knock down than 'stand up'.

Need a rest ?!?! are you joking ? Am at my best form rat now.

>Thank you Newbie. Oyster is good...pearls and all. You can always do
>stand up comedy if you get tired of dentistry. Or lay down comedy. After
[quoted text clipped - 5 lines]
>could be coming from my stomach. Taking probiotics in case. I'll know
>more on Monday and try to get another x-ray of that area.
Fran L - 20 Jan 2008 00:17 GMT
My first introduction to abalone was at age 16 when a friend showed me
the most intricate inlays on his guitar. I was in awe of the beauty of
this newly discovered stone. He later became one of the foremost guitar
experts here and remains my guitar guru before I make a purchase. My own
guitars are more for sound than beauty, so no fancy stuff. Have an
accordian with mother of pearl though, belonged to my Dad...real nice.

Redneck humor, eh? I haven't met many here, just in my travels and what
I see on the internet. One thing I like about this town is that we don't
see many, not overtly anyway. They wouldn't last long, I don't like
white gold either, prefer pale 14K over 18K (too yellow). My birthday's
coming up...HA!
Newbie@bix.nex - 20 Jan 2008 01:53 GMT
>My first introduction to abalone was at age 16 when a friend showed me
>the most intricate inlays on his guitar. I was in awe of the beauty of
>this newly discovered stone.

Umm, Err, Abalone ain't a stone.
Have a jones for a D-45.
There are many dentist/musicians that frequent SMD.

>He later became one of the foremost guitar
>experts here and remains my guitar guru before I make a purchase.

Sounds sexy.

>My own guitars are more for sound than beauty, so no fancy stuff. Have an
>accordian with mother of pearl though, belonged to my Dad...real nice.

Crikey, my sister has a very fine accordion, and can play most things
with keys. This world gets smaller every day, and that's not a
complaint.

You play guitar ? Man I'm gettin' wood.
Rosewood, Ebony, and Rock Maple if'n you ketch my drift. <hehe>
Swamp Ash makes for a good electric guitar body.

>Redneck humor, eh? I haven't met many here, just in my travels and what
>I see on the internet. One thing I like about this town is that we don't
>see many, not overtly anyway. They wouldn't last long, I don't like
>white gold either, prefer pale 14K over 18K (too yellow). My birthday's
>coming up...HA!

Sorry for that, love extreme yellow 18K set with diamonds.
Just my preference. Don't like 'rose' gold. too much copper.

Just passed my BD last week. A yummy GC cake, it was scrumptious !
Congratulations for your 21st birthday !
Hope you have a good time losing your virginity.

Not sure what you mean about the red-neck thingy.
Don't know where you live either.
We could survive in Alaska, quite readily.
Hunt, fish, trap, etc....

Minnesota is fine in the winter, and Wyoming is excellent in Spring.
Summer is awesome in Scotland, and Fall in New England can't be beat.
Fran L - 20 Jan 2008 04:56 GMT
Newbie, in answer to your questions and comments:

I do play guitar but not well yet. Taking lessons from one of the best
instructors here. Problem is we know all the same people from years gone
by, many of whom he taught and we spend half the time BSing about the
60's. I need to unlearn some erroneous fingering and I have trouble with
bar chords. You have a D45 now or just craving one? I crave a Gibson
J200. Like the deepness. I have a Martin 000X1. I have a  Cordoba
classical and an Epiphone, Gibson's cheaper line. It was a gift, not bad
but too bulky for me. The Martin is my baby though! It has a thinner
body and fits my body better. And the sound....so sweet.

I also have and play piano, have a Baldwin spinet, a violin and mandolin
and a small Casio piano. Have an accordian and a zither which I can't
play, bongo drums and some strange African instrument someone gave me.
The apartment is starting to look like Sam Ash (east coast store) or
something from The Twilight Zone. Music is my life. I come from a family
of musicians, my Dad was well known. This is my favorite topic but it's
off topic so I don't want to take up too much time and space here. So
many stories though...

Abalone is not a stone? Oh yeah, it's a shell from some kind of sea
creature, I think.

21st birthday is long gone as is your other reference. The only thing
left are a couple of virgin teeth. Happy belated birthday! Email some
cake.

What I mean by rednecks is that they wouldn't fare well here. I live in
New York City and we don't tolerate rednecks and rarely encounter them
except as tourists. I love tourists, I tell them where to go, what's
worth seeing here but have to break the news to them that the beatniks
are gone and the village they're looking for has lost its authenticity.

If you have your reunion in NY and you want steak, I've heard Peter
Luger is really good, never been there myself though. Fall in New
England is unbelievable, I agree. So is upstate NY but something about
New England churches surrounded by foliage. New Fane, Vermont was one of
the most idyllic towns I've ever experienced.
Steven Bornfeld - 20 Jan 2008 05:18 GMT
> Newbie, in answer to your questions and comments:
>
[quoted text clipped - 37 lines]
>
> ------------------------------------------------------------------------

    I'm in Brooklyn.  Shoot me, I've never been to Peter Luger's.  My wife,
who grew up in Cincinnati was there once (before we met) and ordered
fish (!).
    My last guitar purchase was from ebay, something I never thought I'd
do--and my wife nearly threw me out of the house for not discussing it
beforehand--it's a Martin OM-28VS.  I'm a little guy, really too small
for a dread.  My brother has a D-35 though.  I have a 1966 0016-C that I
bought at Mandolin Brothers about 5 years ago.  I have a Gurian J-R that
I should sell but my daughter likes the blue fuzzy case.  And then I
have 2 office guitars.
    J-200--you like big boxes!

Steve
Fran L - 20 Jan 2008 05:42 GMT
I grew up there and never went to Lugers either! Fish there?
Sacreligious! Like ordering tuna in the 2nd Avenue Deli.

The people in Mandolin Bros. are nice, really helpful. A family
business. I know Jay. Never been to the store though because I have
everything here. The J200 has a distinct sound. The other day I was
playing a CD of one of my friends who has a J200 and the person in my
house said, "That's a J200 isn't it?" I couldn't believe he recognized
it just by the tone but it IS amazing. Yup, too big for me, I tried it
out at that person's house, not comfortable.
Steven Bornfeld - 20 Jan 2008 17:01 GMT
> I grew up there and never went to Lugers either! Fish there?
> Sacreligious! Like ordering tuna in the 2nd Avenue Deli.
[quoted text clipped - 8 lines]
>
> ------------------------------------------------------------------------

    The rap against Gibson is inconsistency, but if you get a good one,
there's nothing like it.  I'd never get a J-200, but a nice
slope-shouldered D-45 would be nice.  There was a guy going to Brooklyn
College when I did--early '70s, who played Mississippi Delta blues with
bottleneck (and sang with an odd Brooklyn-yiddish accent) on a burst
D-45--I fell in love with the sound.

Steve
Steven Fawks - 20 Jan 2008 13:59 GMT
> What I mean by rednecks is that they wouldn't fare well here. I live in
> New York City and we don't tolerate rednecks and rarely encounter them
> except as tourists.

I knew there was a reason that I've never been to NYC.

It's a miracle that I ever learned how to get on the internet.  I can
e-mail the photo of the tropy buck I shot last fall.

;-)
Steve
Newbie@bix.nex - 20 Jan 2008 14:44 GMT
>> What I mean by rednecks is that they wouldn't fare well here. I live in
>> New York City and we don't tolerate rednecks and rarely encounter them
[quoted text clipped - 7 lines]
>;-)
>Steve

Would rather you e-mailed me some of that back strap. <hehe>
Steven Bornfeld - 20 Jan 2008 17:03 GMT
>> What I mean by rednecks is that they wouldn't fare well here. I live in
>> New York City and we don't tolerate rednecks and rarely encounter them
[quoted text clipped - 7 lines]
> ;-)
> Steve

    You look nothing like Crocodile Dundee.

Steve
Steven Fawks - 22 Jan 2008 02:31 GMT
Thanks....I think.

;-)
Steve

>>> What I mean by rednecks is that they wouldn't fare well here. I live in
>>> New York City and we don't tolerate rednecks and rarely encounter them
[quoted text clipped - 11 lines]
>
> Steve
Steven Bornfeld - 22 Jan 2008 02:42 GMT
> Thanks....I think.

    Well--the only photo I remember seeing of you was the closeup with you
wearing the Designs For Vision scopes--I seem to remember red hair, but
not red neck.

Steve

> ;-)
> Steve
[quoted text clipped - 14 lines]
>>
>> Steve
Newbie@bix.nex - 20 Jan 2008 15:00 GMT
Quite the collection you have there.
The 60's are over-rated IMO. 8^]]
Except for Hendrix.

Have a mandolin myself and used to noodle around with
the banjo. We just purchased an upright and also have
a Yamaha synth. Played the upright bass in chorus as a
kid.

Would love to have a D-45 but couldn't justify the price tag.
A nice little Ovation would suit me if I was still playing out.
But that is a different kettle of fish.
Mother was born in Brooklyn and went to college in Oswego.
Have been to NYC many times. It is an interesting place to visit.
You couldn't pay me enough to live there though.

This redneck does just fine in the city.
Still have family on LI.

If you wish to contact me privately use:
wubbabubbazG@RBAGEyahoo.com
Don't forget to take out the g'bage.

BTW Abalone comes from,,, wait for it....
the Abalone shell. A cold water bi-valve.
It is said to be good vittles, haven't eaten one yet but
hope to next time in CA.

One of my favorite guitarists is Skunk Baxter.

>Newbie, in answer to your questions and comments:
>
[quoted text clipped - 35 lines]
>New England churches surrounded by foliage. New Fane, Vermont was one of
>the most idyllic towns I've ever experienced.
Steven Bornfeld - 20 Jan 2008 17:09 GMT
> Quite the collection you have there.
> The 60's are over-rated IMO. 8^]]
[quoted text clipped - 25 lines]
>
> One of my favorite guitarists is Skunk Baxter.

    You've been following Skunk's later career as a military consultant,
right?  Yeah, he's a great player.

http://en.wikipedia.org/wiki/Jeff_Baxter

Steve

>> Newbie, in answer to your questions and comments:
>>
[quoted text clipped - 35 lines]
>> New England churches surrounded by foliage. New Fane, Vermont was one of
>> the most idyllic towns I've ever experienced.
Fran L - 20 Jan 2008 19:07 GMT
Newbie, the email you gave did not work, it came back "no such user".
Could you check the post, maybe there was a typo. I would like to resend
the email. There was a word immediately preceding Yahoo instead of
@yahoo.com...unless it works that way where you live, looks wrong to me.
Thanks.
Newbie@bix.nex - 20 Jan 2008 20:57 GMT
>Newbie, the email you gave did not work, it came back "no such user".
>Could you check the post, maybe there was a typo. I would like to resend
>the email. There was a word immediately preceding Yahoo instead of
>@yahoo.com...unless it works that way where you live, looks wrong to me.
>Thanks.

We generally 'mung' our e-mail addys in the group.
Even my "Reply To:'  addy is munged.
It keeps the spam down.

wubbabubbazG@RBAGEyahoo.com

Take out the G'RBAGE.
Remove the capital letters, and leave the "@" sign.

Live in cyberspace. And real life too !

Sharpen up, 60's hippie girl.
Shave them pits too !  8^]]
Join the new millenium !!!
That started on Jan 1, 2001 for the uninformed.

Don't be late to the party.
Steven Bornfeld - 20 Jan 2008 04:16 GMT
> My first introduction to abalone was at age 16 when a friend showed me
> the most intricate inlays on his guitar. I was in awe of the beauty of
> this newly discovered stone. He later became one of the foremost guitar
> experts here and remains my guitar guru before I make a purchase. My own
> guitars are more for sound than beauty, so no fancy stuff. Have an
> accordian with mother of pearl though, belonged to my Dad...real nice.

    Ha--another guitar guy.  Newbie is more of a Fender man.  I play mostly
classical these days.  Who's your guitar guru?

Steve

> Redneck humor, eh? I haven't met many here, just in my travels and what
> I see on the internet. One thing I like about this town is that we don't
[quoted text clipped - 3 lines]
>
> ------------------------------------------------------------------------
Newbie@bix.nex - 20 Jan 2008 04:30 GMT
>    Ha--another guitar guy.  Newbie is more of a Fender man.  I play mostly
>classical these days.  Who's your guitar guru?
>
>Steve

Frankie claims to be a female.

Fenders for electric, also have a Les Paul.
For steel string acoustics prefer Alvarez Yairi.

Don't have a classical right now.
Steven Bornfeld - 20 Jan 2008 04:42 GMT
>>     Ha--another guitar guy.  Newbie is more of a Fender man.  I play mostly
>> classical these days.  Who's your guitar guru?
[quoted text clipped - 4 lines]
>
> Fenders for electric, also have a Les Paul.

    Geez, I always thought there were Fender guys and Gibson guys.
Have you heard this?

http://www.tennessean.com/apps/pbcs.dll/article?AID=/20080118/BUSINESS01/80118083

Steve

> For steel string acoustics prefer Alvarez Yairi.
>
> Don't have a classical right now.
Fran L - 20 Jan 2008 05:19 GMT
Steve, funny you also mentioned Peter Luger. I hadn't seen your post
when I wrote that. Apparently, it's great.

My guitar guru is someone you have heard of I'm sure. I don't want to
post the name because these posts go to Google and if he types his name,
he will see my posts about my teeth, LOL. I've said enough that he would
know it's me. He has a store that sells high end guitars, first initial
M. Sells some good instructional DVDs by Homespun. Love also going to
Guitar Center but I go when nobody is there. Otherwise, you can't really
try out a guitar with someone playing 2 feet away from you.

At the risk of putting you to sleep...just want to say that they have a
good customer service policy. A month after I bought the Cordoba, the
neck shrunk. I didn't humidify the house properly and as a result, the
strings buzzed when I played the first fret. They said this really
shouldn't have happened so quickly and gave me a credit AND said "Keep
the guitar". I was able to revive it with a Vicks vaporizer that I keep
near the instruments and I bought one of the little humidifier things
you wet and put in the guitar. It sounds great now. So I got to keep the
guitar and bought a mandolin with the credit.
Steven Bornfeld - 20 Jan 2008 16:58 GMT
> Steve, funny you also mentioned Peter Luger. I hadn't seen your post
> when I wrote that. Apparently, it's great.
[quoted text clipped - 6 lines]
> Guitar Center but I go when nobody is there. Otherwise, you can't really
> try out a guitar with someone playing 2 feet away from you.

    OK, I know who you're talking about.  I bought my Gurian (and my
brother bought his D-35 from M (his first name, right?) there about 30
years ago.  I actually graduated from the same high school as he did
(he's maybe 3-5 years older than I).  One of his former repairmen (also
a terrific old-timey guitarist) lives a short walk from me in Park Slope
and has done some work for me.

> At the risk of putting you to sleep...just want to say that they have a
> good customer service policy. A month after I bought the Cordoba, the
[quoted text clipped - 5 lines]
> you wet and put in the guitar. It sounds great now. So I got to keep the
> guitar and bought a mandolin with the credit.

    Good to hear.  I haven't been in his shop in a few years, but when I
was there he had a lot of young, fairly inexperienced guys working
there.  I actually haven't seen M in the shop in a long time.  I
probably came at a bad time.
    I thing Mandolin Brothers overall gives a better looking/drooling
experience, and I like Stan Jay there, but while I feel they're honest,
you don't get any great bargains there.  Still, it's nice to work with a
real shop, and am willing to pay a reasonable premium for service.

Steve

> ------------------------------------------------------------------------
Fran L - 20 Jan 2008 18:44 GMT
Steve...oh boy, where do I begin. OK..the store that had the good policy
was Guitar Center, I should have specified that. But M might have a good
policy too. I don't remember where he went to HS (BT?) but that's when
we were friends and then he went off to Massachusetts, he did real well
for himself. Because of the Guitar Center, he mostly sells higher end
stuff now. He emailed me last week, was cleaning his house and found
some pictures of me from 1965 and scanned them to me.

Now to another mind-blower...I am SURE the guy in Park Slope is BJ,
right? Old timey...greatest repairman, what a guy he is, a real
gentleman. I prefer to not use last names here but speaking of J200s, he
and I were at D's 65th birthday party a few months ago. I think you know
who I mean as he is in B's trio! If this is an email address I can use,
I would love to send you pics of the party and you'll see familiar
faces.

If this is all beginning to sound familiar, I am the one who invited you
years ago to the reunion (under a different name). I have a permit for
next year...this time you should come! I'll send you the website again
with the prior reunions if you like. I actually organized the last one
and out of 200 name tags that I had made up beforehand, I only had 6
left. Everyone under the sun was there...took a lot of work to locate
them. Pete Seeger was  one of the only people who was unable to come but
mailed me (a regular letter!).

It was unbelievable as always but I decided to expand it to include not
just bluegrass, some of the rock groups came. In actuality, everyone
played with everyone back then...an overlap between folk, jug band,
blues...everyone knows each other. Anuway, please let me know if I
guessed right about BJ (no jokes, Newbie, lol)....
Steven Bornfeld - 20 Jan 2008 20:31 GMT
> Steve...oh boy, where do I begin. OK..the store that had the good policy
> was Guitar Center, I should have specified that. But M might have a good
[quoted text clipped - 3 lines]
> stuff now. He emailed me last week, was cleaning his house and found
> some pictures of me from 1965 and scanned them to me.

    Wait--I'm talking about MU, who didn't go to Massachusetts, but to
Bleecker St. ;-)  So I'm way off.

> Now to another mind-blower...I am SURE the guy in Park Slope is BJ,
> right? Old timey...greatest repairman, what a guy he is, a real
[quoted text clipped - 3 lines]
> I would love to send you pics of the party and you'll see familiar
> faces.

    Yes, it's BJ.  He's a short walk from me, and he did some work on my
Gurian a couple of years back.  Nice guy with a goofy edge.
    There is a bluegrass--old timey "jamboree" every Sept. at the Brooklyn
Society of Ethical Culture, and there was a reunion of the WWSB,
including AK, MC, and of course Citizen Kafka.

> If this is all beginning to sound familiar, I am the one who invited you
> years ago to the reunion (under a different name). I have a permit for
[quoted text clipped - 4 lines]
> them. Pete Seeger was  one of the only people who was unable to come but
> mailed me (a regular letter!).

    Now I remember you--and you did send me the pics of the Washington
Square thing--thanks--I have to find them.
    This e-mail address (minus the "mung") is home, and the office e-mail
is bornfeldmung@dentaltwins.com (minus the mung).

> It was unbelievable as always but I decided to expand it to include not
> just bluegrass, some of the rock groups came. In actuality, everyone
> played with everyone back then...an overlap between folk, jug band,
> blues...everyone knows each other. Anuway, please let me know if I
> guessed right about BJ (no jokes, Newbie, lol)....

    Yes.  His subterranean dungeon workshop IIRC was festooned with
articles of a very conservative university (for obvious reasons)

Steve

> ------------------------------------------------------------------------
Fran L - 20 Jan 2008 20:48 GMT
No, you're not way off...I am also talking about MU! What I meant is
that he went to Massachusetts for college, for a while anyway. Then
moved back here and started the store.

How about that? I knew it was Bob! I went to the Park Slope jamboree in
2006. I sat in on some of the workshops. I have pictures of that too (I
always have my camera with me for events). I didn't go this past
September though.

Richie came to my house 20 years ago. He was best friends with my friend
and I found out that he buys LPs. I sold him 300 jazz LPs for a dollar
each. I needed space here. He plays a mean fiddle and is hilarious. I
think I sent you a DVD of the party if I'm not mistaken. If so, you may
remember his antics under the arch when everyone was playing "Soldier's
Joy".

I am not sure who AK and MC are but it would probably come to me if I
looked at my list. I wonder if you have seen Bob's trio perform, he
plays the bass, excellent, also sings perfectly on pitch, flawless.
Well, this is more fun than talking about my darn wisdom tooth! I'll
resend the website, thanks for the email address. You'll like the
pictures, also have some of Bob from the birthday party which are not on
my website (DK asked that I keep them offline).
Steven Bornfeld - 20 Jan 2008 22:22 GMT
> No, you're not way off...I am also talking about MU! What I meant is
> that he went to Massachusetts for college, for a while anyway. Then
[quoted text clipped - 21 lines]
>
> ------------------------------------------------------------------------

    I'll respond via e-mail as I see you've sent me several.

Steve
Fran L - 20 Jan 2008 05:31 GMT
Newbie, if you have an old Les Paul, it could be worth a lot if it
didn't have any revisions done. One of my friends just had one
originally appraised at $120,000. However, as it was further appraised,
it was taken apart and because it was "improved" the value kept going
down. Each appraiser called Gibson, had to explain every part. I sat
through one appraisal, took 2 hours. This was a Custom 1960 or 62, I
forget. Had he known that the work would diminish its worth someday, he
would have left it alone. End of story is that he just got frustrated
and decided to keep it.
Newbie@bix.nex - 20 Jan 2008 14:34 GMT
>>>     Ha--another guitar guy.  Newbie is more of a Fender man.  I play mostly
>>> classical these days.  Who's your guitar guru?
[quoted text clipped - 11 lines]
>
>Steve

You come up with the most interesting links.
Haven't head of this, but I don't keep up much.
Can't remember the last issue of GP purchased.
It was several years ago.

Fender necks have a bit longer scale than Gibsons, and
there is more radius on the fretboard. Have a bastard Tele
that has a Warmoth neck that has a compound radius.
It plays very nicely.

Thanks Stevie
Steven Bornfeld - 20 Jan 2008 17:07 GMT
>>>>     Ha--another guitar guy.  Newbie is more of a Fender man.  I play mostly
>>>> classical these days.  Who's your guitar guru?
[quoted text clipped - 22 lines]
>
> Thanks Stevie

    This was posted over at rec.music.makers.guitar.jazz
I rarely read any of the magazines anymore--occasionally Fingerstyle.
The message on that ng was whether this could be the end of an American
icon.

Steve
Mark & Steven Bornfeld - 19 Jan 2008 17:33 GMT
> I was going to pick up a copy of last month's digital x-rays so I could
> post that tooth but the dentist is closed today. The only periapical
[quoted text clipped - 5 lines]
>
> ------------------------------------------------------------------------

Tough to judge progression.  The x-ray is much lighter and was taken
from a different angle.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mark & Steven Bornfeld - 19 Jan 2008 17:31 GMT
> THANK YOU both! I recently had periapical x-rays but didn't get a copy
> because they're digital. I will get one though, better than nothing. I
[quoted text clipped - 9 lines]
>
> ------------------------------------------------------------------------

    The x-ray is a bit dark.  We look for swelling of the sac around the
crown of the tooth.  You really can't do a definitive diagnosis without
a biopsy, and when you do you almost always find cystic elements in the
tissue.
    As Newbie says, change in the size of the crypt over time is helpful in
diagnosis.  If there is a cyst, it looks minimal.  However, I do think
the third molar puts the second molar at significant risk.
    Newbie is braver about doing extractions like this than I am.  I would
punt this over to the oral surgeon, and if he says he's comfortable
about removing it, I go with his judgment.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 19 Jan 2008 18:52 GMT
>    Newbie is braver about doing extractions like this than I am.

It's not about bravery. It's about knowing the anatomy
and having careful surgical technic.

There is the potential for significant post-op sequelae
in operating this case.

I would *PASS* unless the patient was well informed
of possible/probable paresthesia and other significant
sequelae, and there was extreme pathology.

Ameloblastoma tends to occur in younger patients, and
not all cysts need to be surgical removal.
Cysts can be 'marsupialized' and over time can be eliminated
entirely without major boney intrusion.

There is also the possiblility of post-op mandible fracture due to the
position of the impaction and the certain need for bone
removal well into the ramus.

Am reluctant to reiterate, but the age of the patient is also a
determinative diagnostic, surgical, and post-op consideration.

This is not a surgical case that I would readily operate.
Have the skills required, but wouldn't want to surgically intervene
unless a *major*  and *significant* need was present or arose.

And yes, all tissue would be sent for  histo-pathological
microscopic examination.

Dr. King probably wouldn't blink.
Mark & Steven Bornfeld - 19 Jan 2008 18:57 GMT
>>     Newbie is braver about doing extractions like this than I am.
>
[quoted text clipped - 28 lines]
>
> Dr. King probably wouldn't blink.

    I have a patient going to an oral surgeon here in Brooklyn for removal
of a large dentigerous cyst associated with a lower third molar.  I
don't think they're planning on marsupializing it--we'll see.  She's
about 60 years old.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 19 Jan 2008 19:14 GMT
>    I have a patient going to an oral surgeon here in Brooklyn for removal
>of a large dentigerous cyst associated with a lower third molar.  I
>don't think they're planning on marsupializing it--we'll see.  She's
>about 60 years old.
>
>Steve

A dentigerous cyst is a bit different from the 'garden variety' cyst
commonly found in humans. Had a sebaceous cyst removed
from the posterior of my left knee as a child.
Don't recall that as much fun.

The cellular structure of a dentigerous cyst is much different from
the 'fluid filled sac' commonly known as a cyst.
Would also send a patient, no matter age, to an OMFS for removal.

IIRC dentigerous cysts are not amenable to marsupialization.
They also tend to recur if not completely removed <?>
 
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